15 February 2020 by RICARDO GOMEZ TEJADA

Results of a screening program for PAH in HIV patients treated in hospitals in Argentina

Prevalence of PAH is 15-52 per 100,000. In HIV patients it occurs in 1 / 200. Diagnosis appeared to be difficult.. The VI World Symposium on Pulmonary Hypertension recommends the search for PAH in symptomatic or asymptomatic HIV patients with risk factors.

Objective: Describe the clinical and hemodynamic characteristics of patients with PAH / HIV detected in 2 hospitals in Buenos Aires, Argentina, at the time of diagnosis, compare results with international registries.

Method: Cross-sectional description of 13 HIV patients diagnosed with PAH by CCD.HIV patients with dyspnea or other guiding symptom and without other pathology that justify it referrals to the office of PH studied by echocardiography and CCD.

Results: See results table in full pdf

Conclusions: Patients showed clinical conditions indicating AIDS (Clinical Category C, CDC). At diagnosis time of PAH, 75% Q of the sample stayed with advanced disease but acceptable CD4 values. All were at intermediate risk of mortality for PAH. In spite of increased PVR and RV enlargement preserved CI suggested a timely intervention.

About the author


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RICARDO GOMEZ TEJADA

ALAT PULMONARY CIRCULATION VICECHAIR

HOSPITAL DE CLÍNICAS. UNIVERSIDAD DE BUENOS AIRES

Argentina

Key Contributors

Calegari E, Litewka D, Gomez Tejada R, Atamañuk AN, Cuatz D, R, Fridman V, Giovini V, 2Mastandrea N, Sebastian Rivadeneira, Hoffmann D, Rattagan P, Payaslian M.1Htal. Fernández Htal. Clinics Buenos Aires, Argentina Prevalence of PAH is 15-52 per 100,000. In HIV patients it occurs in 1 / 200. Diagnosis appeared to be difficult.. The VI World Symposium on Pulmonary Hypertension recommends the search for PAH in symptomatic or asymptomatic HIV patients with risk factors.


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